J Dent Anesth Pain Med.  2019 Dec;19(6):389-392. 10.17245/jdapm.2019.19.6.389.

Inferior turbinate outfracture for successful nasotracheal intubation in a patient undergoing maxillofacial surgery: case report

• Kwon MA

• KMID: 2466654
• DOI: http://doi.org/10.17245/jdapm.2019.19.6.389

Abstract

An enlarged inferior turbinate is a predisposing factor for difficult nasotracheal intubation. We describe a case of successful nasotracheal intubation by induced outfracture of the inferior turbinate during maxillofacial surgery, and discuss the importance of adequate airway evaluation and anesthetic management for successful nasal intubation.

Keyword

Intubation; Nasal Obstruction; Turbinates

MeSH Terms

Causality
Humans
Intubation*
Nasal Obstruction
Surgery, Oral*
Turbinates*

Figure

• 

  Fig. 1 Preoperative dental computed tomography showing a radicular cyst in the right maxilla and a mucocele in the left maxilla. The nasal septum appears mildly deviated and the inferior turbinate is enlarged with mucosal hypertrophy. Osseous hypertrophy or concha bullosa is not found (A; coronal view, B; axial view).

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